| Crossover Health Medical Group | |
|
544 Conestoga Pkwy Ste 3 Shepherdsville KY 40165-5676 | |
| (929) 891-0328 | |
| Not Available |
| Full Name | Crossover Health Medical Group |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 544 Conestoga Pkwy Ste 3, Shepherdsville, Kentucky |
| Authorized Official Name and Position | Angie Sakioka (OPERATIONS) |
| Authorized Official Contact | 9498910228 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossover Health Medical Group 101 W Avenida Vista Hermosa Ste 120 San Clemente CA 92672-7707 Ph: (949) 891-0328 | Crossover Health Medical Group 544 Conestoga Pkwy Ste 3 Shepherdsville KY 40165-5676 Ph: (929) 891-0328 |
| NPI Number | 1992312847 |
|---|---|
| Provider Enumeration Date | 09/24/2020 |
| Last Update Date | 09/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992312847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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